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A married couple of 23 years seeks therapy due to issues of infidelity. The wife learned that her husband had an affair with his coworker for six months. The wife is angry and hurt that her husband betrayed her trust, and although he has expressed regret, he still maintains that she is also to blame. He states that he and his wife had been growing apart for years before having an affair. In this situation, what should be the long-term goal of therapy?
A social worker is working at an immigration detention facility, where undocumented immigrants stay for several weeks. Many of the immigrants arrive with signs of PTSD, including flashbacks, trouble sleeping, heightened reactions, guilt, and depressed mood. What should the social worker NOT do when providing care for these clients?
A 19-year-old college student meets with a social worker because of poor grades and anxiety. She states that she must force herself to leave her home to attend class, and when she does, she avoids the common areas and large open spaces because she’s worried about having a panic attack. The client reports that when she’s in large open spaces or common areas, she can’t breathe, her heart races, and feels she’s going to die, and she’s worried that no one will help her if she has a panic attack. She reports experiencing the same problems in crowds, so she avoids going out where there are a lot of people, which has made it difficult to have a social life while in college. Based on this information provided in the stem, the MOST likely DSM-5 diagnosis for this client is:
To integrate trauma-informed care practices within a service organization, which of the following is NOT advised?
An emergency room social worker meets with an 89-year-old female who will be hospitalized because she is unable to perform Activities of Daily Living. What does Activities of Daily Living refer to?
A client is upset at his new neighbor for parking his RV in front of the client’s home. The client is furious and tense as he describes the argument with the neighbor. The client has a history of having poor impulse control, which includes theft and binge drinking. He has been arrested on multiple occasions for starting fights. In this situation, which of the following is the BEST predictor of whether this client will likely use violence towards his neighbor?
A 38-year-old author is seeking help for her fear of public speaking. Due to recent book promotions, she is now required to make regular book presentations to prospective publishers. Previously, her work was behind the scenes as a ghostwriter. She’s afraid that she will “blow it” when making presentations and look foolish and incompetent to prospective publishing companies. The client is considering publishing her book as a ghostwriter, so she won’t have to make any presentations. She states that public speaking has been a problem since high school and that she feels like she’s having a panic attack whenever she must speak in front of a group. The MOST likely DSM-5 diagnosis for this client is:
During the intake, a client reports feeling dissatisfied and pessimistic about his future. The client is not eating a balanced diet and is suffering from insomnia. He has stopped contacting family and often misses work when he feels upset to get out of bed. The social worker worries that the client might be self-destructive. What steps should the social worker take given that this is the first intake?
A 30-year-old client who started having seizures around six months ago is unemployed. His wife works two jobs, and the family has been able to get by with her income. During the intake, the social worker inquires why the client has come in for treatment. The client replies that he needs assistance in obtaining employment. In this situation, who should the social worker consult with FIRST?
A hospital social worker meets with a 30-year-old for an intake. The client informs the social worker that she has asthma, which is managed well with medication. However, she reports that this is her third emergency room visit this week because of frequent stomach problems, severe headaches, and back pain. She spends several hours researching diseases on the internet to “sort out” what’s wrong with her besides asthma. The client was also examined by a physician and was informed that other than asthma, she is in good health and has no new medical problems. The client’s symptoms are MOST suggestive of which DSM-5 diagnoses?
A social worker at a mental health clinic completes a mental status exam during the initial intake. A social worker would refer a client to a psychiatrist if he observed which of the following?
A school social worker meets with a 12-year-old girl who claims that she has been smelling strange smells, such as burning flesh and rotten food, but that none of those things are nearby when this occurs. Additionally, she struggles academically. What should the social worker do FIRST when assessing this girl?
Which of the following characteristics is NOT relevant to consider when assessing a client’s ego functioning?
A social worker has been seeing a father, mother, and 8-year-old daughter in family therapy for 8 months. The court referred the family after it was determined that their 12-year-old son had been molesting his sister. The son has spent 12 months in a group home where he receives individual and group therapy. In two weeks, the son will start having two-hour visits with his family at their home. What should the social worker do in terms of treatment planning?
A social worker at an inpatient psychiatric unit meets with a patient who reports that she and a famous public figure have an intimate relationship and are in love. She sends him love letters daily, but he doesn’t respond because, according to the patient, he wants to avoid the paparazzi because he is married. Based on this information, the MOST likely DSM-5 diagnosis for this client is:
In contrast to Bipolar I Disorder, which of the following MUST be present in Bipolar II Disorder?
What is the primary difference between a manic episode and a hypomanic episode?
A social worker refers a client with severe schizophrenia for a medication evaluation. Which of the following medications is his psychiatrist MOST likely going to prescribe?
A social worker is meeting with a 6-year-old boy who repetitively has bedwetting. The social worker is considering a diagnosis of enuresis. Before diagnosing the boy, what should the social worker do first?
A 19-year-old transgender college student has recently started hormone therapy. The student sought help from the college counseling center because she has been feeling extremely anxious and overwhelmed. What should the social worker’s FIRST steps be in this situation?
In an initial interview, a client who drives a truck for the city sanitation department confesses to daily alcohol consumption. What should be done FIRST by the social worker?
A family presents to a mental health clinic seeking therapy. During the initial assessment, the social worker learns that the mother abuses opioids. Which of the following interventions should the social worker take FIRST?
A social worker meets with a client who has been misusing alcohol for several years and needs inpatient care to safely withdraw from alcohol. The social worker comes to this conclusion because of her previous experience with the client. The social worker is aware that in previous attempts to quit drinking, the client has experienced delirium tremens (DTs). Which of the following accurately describes delirium tremens?
A couple seeks counseling because of the husband’s rigid behaviors. After the initial interview of the couple is conducted, the social worker attempts to rule out whether the husband has an Obsessive-Compulsive Personality Disorder. Which of the following symptoms is LEAST likely to be present for the diagnosis to be accurate?
A social worker at an inpatient psychiatric facility meets with a 23-year-old patient and the patient’s family to discuss discharge planning. The patient has a diagnosis of Borderline Personality Disorder and a history of assaultive behavior. The patient’s parents want the patient to move into their home to provide support. What factor should the social worker evaluate FIRST?
What type of validity would a social workers use to predict future academic or work success and its outcomes?
A family presents for structured family therapy. After the first session, the husband calls the social worker and states, “I have something I want you to know, but I don’t want my family to find out.” The social worker’s MOST appropriate response to this situation is:
For a DSM-5 diagnosis of Delusional Disorder to be met a patient needs to meet which of the following requirements?
A 32-year-old female client has frequent episodes of irritability and emotionality. She also reports feeling exhausted, out of control, and experiencing appetite changes. Between these episodes, the client report’s that she is well-adjusted, has a positive mood, and is well-tempered. The client claims that the week leading up to her menstruation has always made her very cranky. Which of the following DSM-5 disorders MOST closely matches the clients’ symptoms?
A hospital social worker meets with a 78-year-old male for an intake session. The client is unable to provide information needed to complete a psychosocial assessment. The hospital social worker obtains the client’s consent to contact family members for additional information. What term BEST describes the type of information that will be obtained?
Which of the following conditions is NOT a specifier of Conversion Disorder?
Which of the following best describes how the DSM-5 characterizes the signs and symptoms of Substance Use Disorder?
A teen girl who frequently fails to attend classes is referred to a social worker for counseling. The girl’s mother called the social worker in advance to express her concern that her daughter might be depressed. She arrives at the first session, sits down, crosses her arms, and looks out the window. She avoids eye contact and responds to the social worker’s queries by saying “yes” or “no” or refusing to answer. Which approach should the social worker use to engage the teenager?
A 22-year-old female has been meeting with the social worker for bi-weekly therapy. During a session the client exhibits disorganized thinking, labile affect, incoherence, and paranoid delusions. The client reports that she discontinued prescribed medication because of reported “shakiness” and “swollen mouth.” The social worker should FIRST:
A community social worker is meeting with a patient who is well-known to a mental health clinic. The patient has a history of resistance to treatment and hostility toward staff. To involve the client and establish a therapeutic relationship, what should the social worker do FIRST?
A middle-aged male presents at a local clinic with slurred speech, unstable gait, and poor attention. The social worker observes the smell of alcohol on his breath when visiting with the man. When asked about his alcohol use, he replies that he drinks “now and then,” but denies current alcohol use. Which of the following observations about this man is LEAST likely to influence a decision to refer him for inpatient detoxification?
Which of the following definitions BEST describes transference?
During the first session, a 38-year-old women sobs as she discusses her recent divorce from her spouse. She claims that for days, she has been extremely unhappy and at times, completely hopeless about the future. She missed two days of work last week because she didn’t feel like seeing anyone. What is the MOST probable DSM-5 diagnosis for this woman?
A clinical social worker is evaluating a six-year-old transgender child who displays a complex facial tic consisting of tongue protrusion, blinking, and sniffling. Bark like vocal tics are also present. These symptoms are not present during sleep. What is the MOST likely diagnosis?
The termination process is MOST associated with:
During a therapy session, a client experiences strong emotions when discussing current stressors and decides to end the session early. After the session, the client calls the office and cancels his next scheduled appointment. The patient then comes in the following week during his regularly scheduled time and states, “I am feeling fine. I can’t think of anything to say.” The social worker should:
A 53-year-old client is seeking individual treatment after experiencing job-related issues. The client claims that his manager threatened to fire him and accused him of being under the influence of alcohol. When the social worker asks about his drinking habits, the client responds that he drinks on most days to cope with stress. He continues by saying that his spouse has also accused him of binge drinking, which has resulted in many arguments between the couple. He acknowledges that he has slapped his wife while intoxicated in the past, to quote “get her to quit bugging me about my drinking.” What is the BEST course of action for this patient’s treatment?
According to the DSM, which of the following characteristics is seen in a Narcissistic Personality Disorder but NOT in a Borderline Personality Disorder?
A family is referred to a school social worker because the student has been unmanageable in the classroom. At the intake interview, the parents inform the social worker they are “busy” with finding employment and may lose their housing. What should the social worker do NEXT?
A married couple who reports being in recovery for 6 months for Substance Abuse Disorder request marital therapy. The couple states, “our relationship is deteriorating because of daily arguments.” The social worker should FIRST:
According to the DSM-5, a person diagnosed with for Oppositional Defiant Disorder, will have all the following EXCEPT:
A social worker meets with a family who is experiencing stress because both parents recently became unemployed due to the pandemic. What should the social worker do FIRST?
A social worker is seeing an individual who presents with symptoms of binging and purging. The social worker diagnoses the patient with bulimia nervosa and refers them for physician for examinations. The doctor informs the social worker that according to medical testing the patient is at risk for kidney failure and cardiac arrest due to a significant potassium deficit. Which of the following medical diagnoses did the patient develope as a result of her eating disorder?
A social worker is treating a graduate student who claims that distressful thoughts prevent him from paying attention in class and cause him irritation. He occasionally struggles to get to sleep at night because of these worries. The client feels helpless to control these worries and has been dealing with them for a year. The client MOST likely meets which of the following DSM5 disorders?
What part of the social work helping process is MOST important in developing a therapeutic relationship?
To receive a Posttraumatic Stress Disorder or Acute Stress Disorder diagnosis under the DSM-5, the patient must have been exposed to:
A social worker at a substance use treatment center meets with a 15-year-old adolescent client who expresses remorse about engaging in sexual activity while under the influenced of alcohol. The social worker tells the client that sexual promiscuity while intoxicated may be an indicator Alcohol Use Disorder. Which of the following BEST describes the social worker’s approach?
During the assessment phase of therapy with a 28-year-old male who voluntarily entered treatment for depression, the client asks many questions about the social worker’s qualifications and demonstrates a reluctance to discuss anything other than general topics. Which of the following concepts best describes the client’s current behaviors?
A social work intern meets with a 26-year-old female client in a domestic violence shelter. The client tells the social worker intern that a decision has been made to return home to an abusive partner. What should the social worker do FIRST?
A client reports that on occasion she feels like she is outside of herself observing her thoughts, and activities, as though she is in a dream. This experience is known as:
Alcohol is a:
Residents in low-income neighborhoods are concerned about increasing crime rates. The residents ask the community social worker for assistance. What process should the social worker use to help the residents work together to improve their safety?
According to the DSM-5, which of the following indicates that a Anorexia Nervosa Diagnosis would be more appropriate than Bulimia Nervosa?
A social worker meets with a patient who has been in a psychiatric hospital for two months. The patient’s diagnoses include Major Depressive Disorder, Bipolar Disorder, and Substance Use Disorder. The patient is prescribed psychotropic medication and an anticonvulsant for a seizure disorder. For several days the patient has experienced drowsiness, stumbling, and slurring of speech. What should the social worker do FIRST?
Numerous pressures affect immigrants before, during, and after relocation. Separation from family members, physical strain, exposure to cultural norms and settings as well as potential trauma can all be part of the immigration process. Immigration-related stress might worsen or start mental health and family problems. Immigrant families MOST frequently seek mental health care for:
A soon to be married couple is referred to a social worker by their minister. In addition to the typical premarital nervousness, the clients describe frequent arguments and communication difficulties. During their second session the social worker observes that the woman is clearly irritated, but she won’t reveal what is bothering her. After smelling alcohol on the man’s breath, the social worker becomes concerned that the man has a drinking problem. In this situation, what would be the BEST intervention for the social worker?
A social worker receives a referral of her neighbor’s daughter. The social worker should:
A 42-year-old woman and her 76-year-old father are having a joint meeting with a social worker. The woman reports that her mother passed away six months ago. The daughter states feeling worried about her father’s excessive drinking. The father report’s drinking two or three glasses of wine daily. He informs the social worker that to increase his appetite, his primary care provider advised him to consume wine daily. These statements are verified by the daughter. With this information in mind, what should the social worker do FIRST?
A client states that for the past two week, he has felt hopeless and worthless. He also claims that he can’t seem get to sleep, has lost his appetite, and is constantly worried. The client claims there are no specific stressors in his life and denies any prior history of mood disorders. What is the clients MOST likely diagnoses?
A social worker is seeing a client that has been diagnosed with schizophrenia. He goes to see his psychiatrist, who prescribes him Haldol. In individuals with schizophrenia, Haldol is MOST effective for treating which of the following?
A social worker facilitates a treatment group for juveniles who are court mandated to attend. During the first session, an 11-year-old boasts to the others about vandalism committed in the area. What should the social worker do FIRST?
A 62-year-old male was referred to a social worker who is reporting symptoms of depression after recently retiring from his job at the town clerk’s office. The man reports that he has not been satisfied with his life since retiring from his job. Which of the additional risk indicators listed below should concern the social worker MOST?
A high school social worker receives a phone call from a father asking for help with his 16- year-old teenager’s behavior. The father tells the school social worker that his son is frequently defiant and aggressive toward a younger sibling and the family dog. What is the social worker’s MOST appropriate response to the father’s request?
The World Health Organization Disability Assessment Schedule (WHODAS) 2.0 is included in the DSM-5 as a method for evaluating disability in persons who are 18 years of age and older. The WHODAS measures disability using a 5-point Likert scale. Which of the following domains are measured on this assessment?
According to the DSM-5, which of the following must be ruled out before a sexual dysfunction diagnosis is made?
What substance is classified as a depressant?
A social worker meets with a mother, father, and transgender daughter for family therapy. The parents are concerned because the daughter wears clothing they believe is unsuitable for her age and she frequently prefers to spend time with her friends than with family. The social worker explains that the girl’s behavior appears normal for her age and offers the parents information on human developmental and developmental milestones. Specifically, the social worker explains that the girl:
Social workers frequently utilize a multidimensional framework that consists of three basic dimensions to understand the influences and development of client behaviors. Which dimension is influenced by social regulation and childhood attachment?
A 27-year-old male meets with a social worker for an initial intake. The man was sexually abused as a child by his father, he’s scared and hesitant to respond to any questions about the abuse. In this situation, what should the social worker do FIRST?
A social worker meets with a Cuban family of five, including a mother, a father, and three children. The parents immigrated to the United States after they married and have always been concerned about the effect of American culture on their children. The parents forbid their children from attending sleepovers and restrict their social media and electronic device access. During the session, the father starts to be wary of the social worker. According to the father, families should rely on one another for support and maintain their traditions and values. According to systems theory, which of the following appears to be true about this family?
A social worker has just started working with a family of three. The son had a neck injury while playing hockey two weeks ago and has been informed that he may never walk again. As a result of this information, the boy is depressed and feels helpless. His parents have tried to comfort him by stating, “You are alive and have upper mobility.” The parents ask the hospital social worker to help them raise their son’s spirits. They add that they don’t understand why he can’t see that things could have been so much worse. The parents are MOST likely displaying which of the following stages of grief?
When a person chooses to forsake her cultural heritage in favor of the culture that is most prevalent in society, she is displaying:
A hospital social worker meets with the parents of an 18-month-old boy who has been diagnosed with nonorganic failure to thrive. What factors should the social worker evaluate FIRST when meeting with the family?
A social worker is interviewing a biracial couple who are eager to become foster parents. The social worker learns that the couple has a 17-year-old biological son who is HIV positive. What should the social worker do?
A social worker is meeting with a 33-year-old male for an initial intake. The man reports that he is caring for his elderly mother, who is wheelchair-bound. The mother struggles to move around due to physical pain and mild cognitive impairments. The client expressed anger and resentment at his younger brother for only occasionally helping with the caretaking duties. In this situation, what is the MOST appropriate assessment?
A 27-year-old man was referred to the clinical social worker for Persistent Depressive Disorder by his primary care provider. The man reports feeling unhappy for two years and doesn’t know how to improve his mood. His daily routine consists of going to work and eating dinner with his mother. He acts like everything is fine, but he is unable to stop having negative feelings. Based on this information, the social worker will be treating the client using cognitive behavior therapy. Therefore, the social worker will be MOST interested in which of the following?
During an initial therapy session with a social worker, a client indicates that she wants to disclose certain information but is reluctant to do so because it involves others in her family. In response, the social worker should:
A clinical social worker meets with a bisexual couple who has been married for 40 years to discuss assisted living options. During the session, one partner starts to cry and expresses fear about dying of old age. What should the social worker do FIRST?
Which of the following disorders brought on by alcohol is the MOST severe or life-threatening?
When a social worker is faced with a conflict between state law and HIPAA requirements: